Surgery Center RN

We are currently looking for a Full Time Surgery Center RN to join our Surgery Center Team team located at the Chickasaw Nation Medical Center. Summary: Performs comprehensive assessments and develops patient-centered care plans in collaboration with patients, families, and the healthcare team. Provides professional nursing care, education, and administers intravenous therapy including medications, fluids, and nutrition per physician orders.

Responsibilities

• Promotes the mission, vision, and core values of the Chickasaw Nation * Acts as a patient advocate and maintains patient confidentiality at all times * Treats patients, visitors, and staff courteously and professionally * Treats all customers, vendors, and other employees of CNDH with respect and maintains a cooperative attitude to facilitate quality patient care * Adheres to Chickasaw Nation Department of Health safety practices, policies and procedures, department specific practices, and practices based upon industry standards/requirements according to AORN, OSHA, CDC, and FDA * Demonstrates appropriate problem solving and communication skills * Demonstrates the ability to multitask in a professional manner and positive attitude under all circumstances * Demonstrates good telephone etiquette skills * Provides a safe environment for patients, staff, and visitors by the reduction and control of environmental hazards and risks, and the prevention of accidents and injuries * Demonstrates effective communication, consultation, negotiation, collaboration, and conflict resolution skills/techniques with members of the perioperative team, as well as other departments and disciplines * Serves as a positive promoter of change and growth within the surgery center, while serving as a role model of professional behavior * Assesses the physical, bio-psychosocial, and health education needs of all patients * Develops an individualized perioperative specific plan of care based upon information obtained in the assessment process * Protects the patient from injury caused by chemical, electrical, mechanical, and thermal sources and extraneous objects * Performs accounting procedures to protect the patient from unintended retained surgical items and adheres to established policies and procedures for discrepancies (if necessary) and documents such * Performs interventions necessary to ensure that the patient’s procedure is performed on the correct site, side, and level * Managing the patient’s specimens in the appropriate manner by preserving and labeling as specified by the surgeon * Communicates the patient’s current status to the appropriate parties throughout the continuum of care * Administers medications safely and correctly * Performs interventions to maintain the patient’s wound and tissue perfusion at or above baseline levels * Performs interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems and fluid, electrolyte, and acid-base balances at or above baseline levels * Performs interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period * Performs interventions to protect the patient from surgical site infection * Assesses the knowledge level of the patient or designated support person * Provides education regarding the expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operative or invasive procedure * Actively involves the patient or designated support person in decisions affecting his or her perioperative plan of care and the rehabilitation process * Protects the patient’s rights, dignity, and privacy * Provides culturally and age-appropriate, ethical care within legal standards of practice * Provides consistent and comparable care regardless of the setting * Evaluates the patient’s progress toward attaining outcomes and modifies care to meet the individual needs of each patient * Transfers care as appropriate utilizing the SBAR system * Delegates tasks as appropriate according to the Oklahoma Nurse Practice Act * Documents nursing care accurately, completely, and legibly * Collaborates effectively with other disciplines as appropriate * Participates in quality review and performance improvement projects * Participates in the performance appraisal process * Maintains required competencies * Reviews daily the operation schedule and patient charts for the following day Contacts the NIC, Surgery Center Manager, anesthesia, and/or surgeon regarding special needs when necessary * Functions as a circulating nurse and is responsible for the following:

• Prepares for and assists with surgical procedures and is expected to call breaks and/or omissions in technique to the attention of the operating staff and take measures to correct the situation
• Ensures patient position to assure access to the operative area, and uses precautions to avoid obstruction of circulation, respirations, and protection of nerves from compromise of undue pressure
• Prepares operative area by cleansing skin
• Maintains surgical record including procedure, time, participants, time-out, blood loss, medications, positioning, etc.
• Ensures the proper working order of special equipment needed for each procedure
• Prepares supplies, instruments, and equipment for pending surgical procedures, based upon surgeon preference cards and preoperative orders
• Observes the need for supplies before and during operative procedures and replacing them as needed
• Ensures surgeon preference cards are updated following each procedure as needed * Performs as a scrub nurse, anticipates the needs of the surgeon and provides instruments, sponges, sutures, suctions, cauteries, etc. as needed Carries out perfect systematic and aseptic techniques * Shares responsibilities for maintaining adequate supplies and equipment, as well as the general upkeep of the surgery center to maintain a safe environment * Performs duties of admission/pre-op nurse as assigned * Performs recovery room nursing duties for the immediate post-op patient by monitoring airways, circulation, vital signs, and wound/pain management * Occasionally provides circulating assistance in the OB department for C-sections * Utilizes universal precautions at all times when handling contaminated instruments, equipment, and supplies * Is subject to return to surgery on a call back basis for emergencies and must be physically present in the CNDH Surgery Center prepared to perform duties within thirty (30) minutes of notification and within twenty (20) minutes of notification if on-call for OB * Functions as RN First Assist (RNFA), as qualified and as assigned, as outlined by Association of perioperative Registered Nurses (AORN) Standards of Practice and must complete requirements according to RNFA competencies * Performs all other duties as assigned Competencies: Essential: * Must be proficient in the use of electronic health record keeping systems * Ability to multitask Skills: Essential: * Excellent interpersonal communication and customer service skills, including the ability to interface with and influence associates at diverse levels with different backgrounds and perspectives * Intermediate computer skills * Excellent Phone Skills Experience: Essential: * 2 years directly related experience Education: Essential: * Graduate from an accredited school of nursing required Nonessential: * Bachelor's of Nursing Credentials: Essential: * Advanced Cardiovascular Life Support * Pass general background check * Basic Life Support (BLS) * Pediatric Advanced Life Support * Registered Nurse * Please see the below comments Nonessential: * Certified Perioperative Nurse (CNOR) * Registered Nurse First Assistant (RNFA) Essential: * Must maintain/obtain BLS, ACLS, and PALS certifications by completion of onboarding * CNOR and RNFA is required if functioning as a Registered Nurse First Assist Working Conditions: Essential: * Works in a hospital or clinic environment * Potential exposure to biohazards * Potential exposure to contagious diseases * May be required to assist individuals with unmanaged emotions * Interacts with patients in difficult and/or emergency situations * Frequently bend, kneel, stoop, push, reach * Hand-eye coordination, reach and grasp * Manual dexterity * Frequently assist with lifting patients * Sometimes lift and or carry over 50 lbs * Standing up to 100% of shift * Walking up to 100% of shift * May be on-call * Must be flexible with work schedule * Pass pre-employment drug test Training *It is the responsibility of each employee to attend required training for their position or profession as determined by their line of support (LOS) or the leadership of the Chickasaw Nation. It is the responsibility of those who supervise, manage or otherwise lead employees or teams to ensure each employee has access to and receives all required training. Mission, Vision & Core Values Mission: *To enhance the overall quality of life of the Chickasaw people. Vision: *To be a nation of successful and united people with a strong cultural identity. Core Values: *The Chickasaw People *Cultural Identity *Servant Leadership *Selflessness *Can Do Attitude *Perseverance *Stewardship *Trust and Respect *Loyalty *Honesty and Integrity *Teamwork